Provider Demographics
NPI:1962985168
Name:TOTAL CARE ANESTHESIA PARTNERS LLC
Entity type:Organization
Organization Name:TOTAL CARE ANESTHESIA PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO TOTAL CARE ANESTHESIA PARTNERS
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:GARRY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:423-619-5915
Mailing Address - Street 1:PO BOX 242
Mailing Address - Street 2:
Mailing Address - City:TURNERVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30580-0242
Mailing Address - Country:US
Mailing Address - Phone:423-619-5915
Mailing Address - Fax:
Practice Address - Street 1:541 HISTORIC HWY #441-N
Practice Address - Street 2:
Practice Address - City:DEMOREST
Practice Address - State:GA
Practice Address - Zip Code:30535
Practice Address - Country:US
Practice Address - Phone:423-639-0941
Practice Address - Fax:423-638-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty